person
Matthew Odishoo
Adult Companion in Avondale, Arizona
NPI 1679069025

Matthew Odishoo is an Adult Companion based in Avondale, AZ. Matthew Odishoo practices in Avondale, AZ. The NPI Number for Matthew Odishoo is 1679069025 and holds a License No. AL10626H (Arizona).

The current practice location address for Matthew Odishoo is 2114 S 118Th Ave, Avondale, AZ and can be reached out via phone at 623-792-7930 and via fax at 623-777-1683. You can also correspond with Matthew Odishoo through the mailing address at 2114 S 118TH AVE, AVONDALE, AZ - 85323-7643 (mailing address contact number: 623-792-7930).

Location: 2114 S 118Th Ave, Avondale, AZ, 85323-7643
person
Provider Profile Details
NPI Number
1679069025
Provider Name
Matthew Odishoo
Credential
Provider Entity Type
Individual
Gender
Male
Address
2114 S 118Th Ave, Avondale, AZ, 85323-7643
Phone Number
623-792-7930
Fax Number
623-777-1683
Provider Enumeration Date
07/09/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
381288 01 AZ AHCCCS
institution
Provider Business Practice Location Address Details
Address
2114 S 118Th Ave
City
State
Zip
85323-7643
Phone Number
623-792-7930
Fax Number
623-777-1683
person
Provider Business Mailing Address Details
Address
2114 S 118Th Ave
City
State
Zip
85323-7643
Phone Number
623-792-7930
Fax Number
623-777-1683
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Adult Companion
Speciality
-
Taxonomy
License No.
AL10626H (Arizona)
Definition
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
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